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Relief of compromised translocated right coronary artery blood flow by clockwise rotation of the heart in a Jatene procedure |
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| Authors: | Kan Chung-Dann Roan Jun-Neng Wu Jing-Ming Yang Yu-Jen |
| Institution: | a Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China b Division of Cardiovascular Surgery, Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China c Institute of Clinical Medicine, Medical College, National Cheng Kung University, Tainan, Taiwan, Republic of China |
| Abstract: | Saphenous vein graft pseudoaneurysms are an unusual but potentially fatal complication of coronary artery bypass grafting because of their high risk of rupture or thromboembolism. We experienced the case of a 58-year-old man with a saphenous vein graft pseudoaneurysm with a floating thrombus that had developed 17 years after the initial coronary artery bypass grafting. The prevention of thromboembolism during a surgical procedure has been crucial for this type of operation. We developed the idea of in situ revascularization using the right gastroepiploic artery under the beating heart on cardiopulmonary bypass followed by an aneurysmectomy under an arrested heart. |
| Keywords: | 21 |
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